# TRACY HILLS DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528723806
- **Authorized official:** DR. RIDDHIMA SURI DDS (OWNER DENTIST)
- **Authorized official phone:** (209) 830-7032

## Contact information

- **Practice address:** 510 WHISPERING WIND DR STE 102, TRACY, CA 95377-8119
- **Practice address phone:** (209) 830-7032
- **Mailing address:** 510 WHISPERING WIND DR STE 102, TRACY, CA 95377-8119
- **Mailing address phone:** (209) 830-7032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2021
- **Last updated:** 11/02/2021